title: [Ectopic cervical pregnancy--conservative treatment with methotrexate].
abstract: Ectopic pregnancy regardless its localization always remains difficult diagnostic and therapeutical problem. Special attention is paid to cervical pregnancy because of its rare incidence and poor prognosis (even in this day and age maternal death rate is 40-45%). In this paper there has been reported the case of 38 years old patient, admitted to Dept of Gynecological Oncology with suspicion of alive cervical pregnancy. Diagnostic procedures have been described as well as positive results of conservative treatment with Methotrexate (under careful monitoring--ultrasound, beta hCG levels). Also there has been presented detailed description of endocervix curettage after fetal death confirmed ultrasonographically. Current conservative therapy methods for cervical pregnancy have been discussed.
authors.affiliation: Kliniki Onkologii Ginekologicznej Instytutu Ginekologii i Połoznictwa Akademii Medycznej w Poznaniu.
authors.forename: M
authors.initials: M
authors.lastname: Spaczyński
authors.forename: Z
authors.initials: Z
authors.lastname: Słomko
authors.forename: E
authors.initials: E
authors.lastname: Nowak-Markwitz
authors.forename: M
authors.initials: M
authors.lastname: Michalska
authors.forename: S
authors.initials: S
authors.lastname: Sajdak
authors.forename: K
authors.initials: K
authors.lastname: Drews
authors.forename: D
authors.initials: D
authors.lastname: Szpurek
authors.forename: A
authors.initials: A
authors.lastname: Danska
mesh_terms: D000328:Adult; D002584:Cervix Uteri; D005260:Female; D005313:Fetal Death; D006801:Humans; D008727:Methotrexate / Q000627:therapeutic use*; D011247:Pregnancy; D011271:Pregnancy, Ectopic / Q000175:diagnosis / Q000188:drug therapy*; D016216:Ultrasonography, Prenatal
chemical_list: D008727:Methotrexate
vernacular_title: Ciaza ektopowa szyjkowa--leczona zachowawczo methotrexatem.